PTO Form 1553 (Rev 9/2005) |
OMB No. 0651-0054 (Exp. 09/30/2011) |
Trademark/Service Mark Statement of Use
(15 U.S.C. Section 1051(d))
The table below presents the data as entered.
Input Field
|
Entered
|
SERIAL NUMBER |
77278000 |
LAW OFFICE ASSIGNED |
LAW OFFICE 106 |
EXTENSION OF USE |
NO |
MARK SECTION |
MARK |
RELIEVA SIDEKICK |
OWNER SECTION (no change) |
GOODS AND/OR SERVICES SECTION |
INTERNATIONAL CLASS |
010 |
CURRENT IDENTIFICATION |
sinus guide catheter handle used to create an extension from the catheter to provide access to the sinus space |
GOODS OR SERVICES |
KEEP ALL LISTED |
FIRST USE ANYWHERE DATE |
09/19/2009 |
FIRST USE IN COMMERCE DATE |
09/19/2009 |
SPECIMEN FILE NAME(S) |
ORIGINAL PDF FILE |
SPN0-1481771212-150109213_._RELIEVA_SIDEKICK_info.pdf |
CONVERTED PDF FILE(S)
(2 pages) |
\\TICRS\EXPORT11\IMAGEOUT11\772\780\77278000\xml7\SOU0002.JPG |
|
\\TICRS\EXPORT11\IMAGEOUT11\772\780\77278000\xml7\SOU0003.JPG |
SPECIMEN DESCRIPTION |
instructions to use |
REQUEST TO DIVIDE |
NO |
PAYMENT SECTION |
NUMBER OF CLASSES IN USE |
1 |
SUBTOTAL AMOUNT [ALLEGATION OF USE FEE] |
100 |
TOTAL AMOUNT |
100 |
SIGNATURE SECTION |
DECLARATION SIGNATURE |
/Karen M. Long/ |
SIGNATORY'S NAME |
Karen M. Long |
SIGNATORY'S POSITION |
Vice President |
DATE SIGNED |
06/16/2011 |
FILING INFORMATION |
SUBMIT DATE |
Mon Jun 20 08:38:51 EDT 2011 |
TEAS STAMP |
USPTO/SOU-XXX.XXX.X.XXX-2
0110620083851113418-77278
000-4805f4d25dda42a2e6d68
c167aff94e93e-DA-8593-201
10616150109213169 |
PTO Form 1553 (Rev 9/2005) |
OMB No. 0651-0054 (Exp. 09/30/2011) |
Trademark/Service Mark Statement of Use
(15 U.S.C. Section 1051(d))
To the Commissioner for Trademarks:
MARK: RELIEVA SIDEKICK
SERIAL NUMBER: 77278000
The applicant, Acclarent, Inc., having an address of
1525-B O'Brien Drive
Menlo Park, California 94025
United States
is submitting the following allegation of use information:
For International Class 010:
Current identification: sinus guide catheter handle used to create an extension from the catheter to provide access to the sinus space
The mark is in use in commerce on or in connection with all goods or services listed in the application or Notice of Allowance or as subsequently modified for this specific class
The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 09/19/2009, and first used in commerce at least as early as
09/19/2009, and is now in use in such commerce. The applicant is submitting one specimen for the class showing the mark as used in commerce on or in connection with any item in the class, consisting
of a(n) instructions to use.
Original PDF file:
SPN0-1481771212-150109213_._RELIEVA_SIDEKICK_info.pdf
Converted PDF file(s) (2 pages)
Specimen File1
Specimen File2
The applicant is not filing a Request to Divide with this Allegation of Use form.
A fee payment in the amount of $100 will be submitted with the form, representing payment for the allegation of use for 1 class.
Declaration
Applicant requests registration of the above-identified trademark/service mark in the United States Patent and Trademark Office on the Principal Register established by the Act of July 5, 1946 (15
U.S.C. Section 1051 et seq., as amended). Applicant is the owner of the mark sought to be registered, and is using the mark in commerce on or in connection with the goods/services identified above,
as evidenced by the attached specimen(s) showing the mark as used in commerce.
The undersigned, being hereby warned that willful false statements and the like so made are punishable by fine or imprisonment, or both, under 18 U.S.C. Section 1001, and that such willful false
statements may jeopardize the validity of the form or any resulting registration, declares that he/she is properly authorized to execute this form on behalf of the applicant; he/she believes the
applicant to be the owner of the trademark/service mark sought to be registered; and that all statements made of his/her own knowledge are true; and that all statements made on information and belief
are believed to be true.
Signature: /Karen M. Long/ Date Signed: 06/16/2011
Signatory's Name: Karen M. Long
Signatory's Position: Vice President
RAM Sale Number: 8593
RAM Accounting Date: 06/20/2011
Serial Number: 77278000
Internet Transmission Date: Mon Jun 20 08:38:51 EDT 2011
TEAS Stamp: USPTO/SOU-XXX.XXX.X.XXX-2011062008385111
3418-77278000-4805f4d25dda42a2e6d68c167a
ff94e93e-DA-8593-20110616150109213169